Roland A Yearwood (NPI# 1265408256, PAC ID# 6709952237) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1265408256 |
| PAC ID by PECOS | 6709952237 |
| Professional Enrollment ID | I20080908000405 |
| Full Name | Roland A Yearwood |
| Organization Legal Name | IVY CREEK OF BUTLER, LLC |
| Address |
125 Church St Georgiana AL 36033-4268 |
| Phone Number | 3343762291 |
| Gender | M |
| Graduation Year | 1994 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4981840139 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010047 | GEORGIANA MEDICAL CENTER |
| 010150 | L V STABLER MEMORIAL HOSPITAL |
| 010097 | ELMORE COMMUNITY HOSPITAL |
| 010023 | BAPTIST MEDICAL CENTER SOUTH |
| Address | Phone | Organization |
|---|---|---|
| 125 Church St, Georgiana, AL 36033-4268 | 3343762291 | IVY CREEK OF BUTLER, LLC |
| Organization Legal Name | IVY CREEK OF BUTLER, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Huggins | Nurse Practitioner | Ivy Creek of Butler, LLC | 125 Church St, Georgiana, AL 36033-4268 |
| Rachel P Wiggins | Nurse Practitioner | Ivy Creek of Butler, LLC | 125 Church St, Georgiana, AL 36033-4268 |
| Street Address |
125 CHURCH ST |
| City | GEORGIANA |
| State | AL |
| Zip | 36033-4268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheri M Siegel | Psychologist, Clinical | 125 Church St, Suite 210, Marietta, GA 30060-1948 | |
| Ashley Huggins | Nurse Practitioner | Ivy Creek of Butler, LLC | 125 Church St, Georgiana, AL 36033-4268 |
| Rachel P Wiggins | Nurse Practitioner | Ivy Creek of Butler, LLC | 125 Church St, Georgiana, AL 36033-4268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn M Geohagan | Family Medicine | Southern Np Associates LLC | 206 S Palmer Ave, Georgiana, AL 36033-3300 |
| Nicole M Laird | Nurse Practitioner | Greenville Clinic Corp. | 101 Church St, Georgiana, AL 36033-4268 |
| City | GEORGIANA |
| Zip Code | 36033 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | GEORGIANA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Roland A Yearwood.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.